BY AMY CAMPBELL, MS, RD, LDN, CDCES | OCTOBER 23, 2018
Historically, looking at urine has been a way for doctors to gauge a person’s health, especially before other types of testing were available. If you’ve had diabetes for a long time or know someone who has, you’ll know that urine testing was a way to figure out how well controlled (or uncontrolled) a persons’ diabetes was — this was done in the days before blood glucose meters were available. Now, of course, we have more sophisticated tools to convey glucose information. But urine still has its place. In fact, the color, smell and consistency of your urine can give you and your doctor helpful information about what might be going on in your body.
What is urine?
Urine is a waste product that contains breakdown products from food, drinks, medicines, cosmetics, environmental contaminants and by-products from metabolism and bacteria. Amazingly, urine contains more than 3,000 compounds — much more than what’s found in other body fluids, such as saliva or cerebrospinal fluid. The kidneys do a remarkable job of filtering and concentrating to help get these compounds out of the body (you can understand why keeping your kidneys healthy is so important). So, what is your urine telling you?
If your urine is…
Bright yellow
This may look alarming, especially when your urine seems to be glowing in the dark. But don’t worry — the bright yellow color is likely due to vitamins, specifically, B vitamins and beta carotene.
Green or blue
Green or blue urine seems like something straight out of a science fiction movie, but the color is very likely due to certain medicines that you’re taking, such as amitriptyline, indomethacin (brand names Indocin, Indocin SR, Tivorbex) or propofol (Diprivan). Your urine might also be green or blue due to food dyes or, possibly, a urinary tract infection (UTI).
Orange
Certain medications, such as rifampin (Rifadin, Rimactane), sulfasalazine (Azulfidine, Azulfidine EN-Tabs, Sulfazine, Sulfazine EC), and phenazopyridine (Pyridium, used to treat UTIs, and others), laxatives, and some chemotherapy drugs can turn your urine orange. Orange urine may also be a sign of liver problems or dehydration.
Brown
Brown or tea-colored urine can result from antimalarial drugs, certain antibiotics, and laxatives that contain senna or cascara. Fava beans, rhubarb and aloe can also darken your urine, as can some kidney and liver disorders, such as hepatitis and cirrhosis.
Red or pink
Red or pink urine can be a sign of something serious…or not. Red urine may be due to the presence of blood, and that’s always somewhat concerning. Blood in the urine may be a sign of a UTI, enlarged prostate, a tumor, kidney or bladder stones, menstruation or injury to the urinary tract. It can also occur if you take blood-thinning medicine or aspirin. Less alarming causes of red urine are beets, berries and rhubarb.
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